BJR open最新文献

筛选
英文 中文
Impact of bowel dilation on small bowel motility measurements with cine-MRI: assessment of two quantification techniques. 肠扩张对电影mri测量小肠运动的影响:两种量化技术的评估。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20210049
Kyra L van Rijn, Jaap Stoker, Alex Menys, Catharina S de Jonge
{"title":"Impact of bowel dilation on small bowel motility measurements with cine-MRI: assessment of two quantification techniques.","authors":"Kyra L van Rijn,&nbsp;Jaap Stoker,&nbsp;Alex Menys,&nbsp;Catharina S de Jonge","doi":"10.1259/bjro.20210049","DOIUrl":"https://doi.org/10.1259/bjro.20210049","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effect of bowel dilation on cine-MRI small bowel motility measurements, by comparing a conventional motility score (including bowel wall and lumen) with a bowel wall-specific motility score in healthy and diseased populations.</p><p><strong>Methods: </strong>Four populations were included: 10 Crohn's patients with a stricture and prestricture dilation for segmental motility analysis, and 14 mannitol-prepared healthy subjects, 15 fasted healthy subjects and eight chronic intestinal pseudo-obstruction (CIPO) patients (characterized by dilated bowel loops) for global small bowel motility analysis. All subjects underwent a cine-MRI scan from which two motility scores were calculated: a conventional score (including bowel wall and lumen) and a bowel wall-specific score. The difference between the two scores was calculated per population and compared between groups with a one-way ANOVA and Tukey-Kramer analysis.</p><p><strong>Results: </strong>In Crohn's patients, the median (IQR) change between the conventional and wall-specific motility score was 0% (-2 to +4%) within the stricture and 0% (-1 to +7%) in the prestricture dilation. For the global small bowel, this was -1% (-5 to 0%) in mannitol-prepared healthy subjects, -2% (-6 to +2%) in fasted healthy subjects and +14% (+6 to+20%) in CIPO patients. The difference between the two motility scores in CIPO patients differed significantly from the four other groups (<i>p</i> = 0.002 to <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The conventional small bowel motility score seems robust in Crohn's disease patients and healthy subjects. In patients with globally and grossly dilated bowel loops, a bowel-wall specific motility score may give a better representation of small bowel motility.</p><p><strong>Advances in knowledge: </strong>These findings support researchers and clinicians with making informed choices for using cine-MRI motility analysis in different populations.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9374862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MRI as a biomarker for breast cancer diagnosis and prognosis. MRI作为乳腺癌诊断和预后的生物标志物。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20220002
Francesca Galati, Veronica Rizzo, Rubina Manuela Trimboli, Endi Kripa, Roberto Maroncelli, Federica Pediconi
{"title":"MRI as a biomarker for breast cancer diagnosis and prognosis.","authors":"Francesca Galati,&nbsp;Veronica Rizzo,&nbsp;Rubina Manuela Trimboli,&nbsp;Endi Kripa,&nbsp;Roberto Maroncelli,&nbsp;Federica Pediconi","doi":"10.1259/bjro.20220002","DOIUrl":"https://doi.org/10.1259/bjro.20220002","url":null,"abstract":"<p><p>Breast cancer (BC) is the most frequently diagnosed female invasive cancer in Western countries and the leading cause of cancer-related death worldwide. Nowadays, tumor heterogeneity is a well-known characteristic of BC, since it includes several nosological entities characterized by different morphologic features, clinical course and response to treatment. Thus, with the spread of molecular biology technologies and the growing knowledge of the biological processes underlying the development of BC, the importance of imaging biomarkers as non-invasive information about tissue hallmarks has progressively grown. To date, breast magnetic resonance imaging (MRI) is considered indispensable in breast imaging practice, with widely recognized indications such as BC screening in females at increased risk, locoregional staging and neoadjuvant therapy (NAT) monitoring. Moreover, breast MRI is increasingly used to assess not only the morphologic features of the pathological process but also to characterize individual phenotypes for targeted therapies, building on developments in genomics and molecular biology features. The aim of this review is to explore the role of breast multiparametric MRI in providing imaging biomarkers, leading to an improved differentiation of benign and malignant breast lesions and to a customized management of BC patients in monitoring and predicting response to treatment. Finally, we discuss how breast MRI biomarkers offer one of the most fertile ground for artificial intelligence (AI) applications. In the era of personalized medicine, with the development of omics-technologies, machine learning and big data, the role of imaging biomarkers is embracing new opportunities for BC diagnosis and treatment.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9080657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Acknowledgement to Reviewers 2021. 向审稿人致谢2021。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20229001
{"title":"Acknowledgement to Reviewers 2021.","authors":"","doi":"10.1259/bjro.20229001","DOIUrl":"https://doi.org/10.1259/bjro.20229001","url":null,"abstract":"","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9451681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlated MR spectroscopic imaging of breast cancer to investigate metabolites and lipids: acceleration and compressed sensing reconstruction. 相关磁共振成像乳腺癌研究代谢物和脂质:加速和压缩传感重建。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20220009
Ajin Joy, Andres Saucedo, Melissa Joines, Stephanie Lee-Felker, Sumit Kumar, Manoj K Sarma, James Sayre, Maggie DiNome, M Albert Thomas
{"title":"Correlated MR spectroscopic imaging of breast cancer to investigate metabolites and lipids: acceleration and compressed sensing reconstruction.","authors":"Ajin Joy,&nbsp;Andres Saucedo,&nbsp;Melissa Joines,&nbsp;Stephanie Lee-Felker,&nbsp;Sumit Kumar,&nbsp;Manoj K Sarma,&nbsp;James Sayre,&nbsp;Maggie DiNome,&nbsp;M Albert Thomas","doi":"10.1259/bjro.20220009","DOIUrl":"https://doi.org/10.1259/bjro.20220009","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective of this work was to detect novel biomarkers in breast cancer by spreading the MR spectra over two dimensions in multiple spatial locations using an accelerated 5D EP-COSI technology.</p><p><strong>Methods: </strong>The 5D EP-COSI data were non-uniformly undersampled with an acceleration factor of 8 and reconstructed using group sparsity-based compressed sensing reconstruction. Different metabolite and lipid ratios were then quantified and statistically analyzed for significance. Linear discriminant models based on the quantified metabolite and lipid ratios were generated. Spectroscopic images of the quantified metabolite and lipid ratios were also reconstructed.</p><p><strong>Results: </strong>The 2D COSY spectra generated using the 5D EP-COSI technique showed differences among healthy, benign, and malignant tissues in terms of their mean values of metabolite and lipid ratios, especially the ratios of potential novel biomarkers based on unsaturated fatty acids, myo-inositol, and glycine. It is further shown the potential of choline and unsaturated lipid ratio maps, generated from the quantified COSY signals across multiple locations in the breast, to serve as complementary markers of malignancy that can be added to the multiparametric MR protocol. Discriminant models using metabolite and lipid ratios were found to be statistically significant for classifying benign and malignant tumor from healthy tissues.</p><p><strong>Conclusions: </strong>Accelerated 5D EP-COSI technique demonstrates the potential to detect novel biomarkers such as glycine, myo-inositol, and unsaturated fatty acids in addition to commonly reported choline in breast cancer, and facilitates metabolite and lipid ratio maps which have the potential to play a significant role in breast cancer detection.</p><p><strong>Advances in knowledge: </strong>This study presents the first evaluation of a multidimensional MR spectroscopic imaging technique for the detection of potentially novel biomarkers based on glycine, myo-inositol, and unsaturated fatty acids, in addition to commonly reported choline. Spatial mapping of choline and unsaturated fatty acid ratios with respect to water in malignant and benign breast masses are also shown. These metabolic characteristics may serve as additional biomarkers for improving the diagnostic and therapeutic evaluation of breast cancer.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10820715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Intubation and mortality prediction in hospitalized COVID-19 patients using a combination of convolutional neural network-based scoring of chest radiographs and clinical data. 基于卷积神经网络胸片评分与临床数据相结合的COVID-19住院患者插管和死亡率预测
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20210062
Aileen O'Shea, Matthew D Li, Nathaniel D Mercaldo, Patricia Balthazar, Avik Som, Tristan Yeung, Marc D Succi, Brent P Little, Jayashree Kalpathy-Cramer, Susanna I Lee
{"title":"Intubation and mortality prediction in hospitalized COVID-19 patients using a combination of convolutional neural network-based scoring of chest radiographs and clinical data.","authors":"Aileen O'Shea,&nbsp;Matthew D Li,&nbsp;Nathaniel D Mercaldo,&nbsp;Patricia Balthazar,&nbsp;Avik Som,&nbsp;Tristan Yeung,&nbsp;Marc D Succi,&nbsp;Brent P Little,&nbsp;Jayashree Kalpathy-Cramer,&nbsp;Susanna I Lee","doi":"10.1259/bjro.20210062","DOIUrl":"https://doi.org/10.1259/bjro.20210062","url":null,"abstract":"<p><strong>Objective: </strong>To predict short-term outcomes in hospitalized COVID-19 patients using a model incorporating clinical variables with automated convolutional neural network (CNN) chest radiograph analysis.</p><p><strong>Methods: </strong>A retrospective single center study was performed on patients consecutively admitted with COVID-19 between March 14 and April 21 2020. Demographic, clinical and laboratory data were collected, and automated CNN scoring of the admission chest radiograph was performed. The two outcomes of disease progression were intubation or death within 7 days and death within 14 days following admission. Multiple imputation was performed for missing predictor variables and, for each imputed data set, a penalized logistic regression model was constructed to identify predictors and their functional relationship to each outcome. Cross-validated area under the characteristic (AUC) curves were estimated to quantify the discriminative ability of each model.</p><p><strong>Results: </strong>801 patients (median age 59; interquartile range 46-73 years, 469 men) were evaluated. 36 patients were deceased and 207 were intubated at 7 days and 65 were deceased at 14 days. Cross-validated AUC values for predictive models were 0.82 (95% CI, 0.79-0.86) for death or intubation within 7 days and 0.82 (0.78-0.87) for death within 14 days. Automated CNN chest radiograph score was an important variable in predicting both outcomes.</p><p><strong>Conclusion: </strong>Automated CNN chest radiograph analysis, in combination with clinical variables, predicts short-term intubation and death in patients hospitalized for COVID-19 infection. Chest radiograph scoring of more severe disease was associated with a greater probability of adverse short-term outcome.</p><p><strong>Advances in knowledge: </strong>Model-based predictions of intubation and death in COVID-19 can be performed with high discriminative performance using admission clinical data and convolutional neural network-based scoring of chest radiograph severity.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9080658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Diffusion-weighted MR imaging of musculoskeletal tissues: incremental role over conventional MR imaging in bone, soft tissue, and nerve lesions. 肌肉骨骼组织的弥散加权磁共振成像:在骨骼、软组织和神经病变中的作用比传统磁共振成像更大。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20210077
Mina Guirguis, Gaurav Sharan, Jerry Wang, Avneesh Chhabra
{"title":"Diffusion-weighted MR imaging of musculoskeletal tissues: incremental role over conventional MR imaging in bone, soft tissue, and nerve lesions.","authors":"Mina Guirguis,&nbsp;Gaurav Sharan,&nbsp;Jerry Wang,&nbsp;Avneesh Chhabra","doi":"10.1259/bjro.20210077","DOIUrl":"https://doi.org/10.1259/bjro.20210077","url":null,"abstract":"<p><p>Diffusion-weighted imaging is increasingly becoming popular in musculoskeletal radiology for its incremental role over conventional MR imaging in the diagnostic strategy and assessment of therapeutic response of bone and soft tissue lesions. This article discusses the technical considerations of diffusion-weighted imaging, how to optimize its performance, and outlines the role of this novel imaging in the identification and characterization of musculoskeletal lesions, such as bone and soft tissue tumors, musculoskeletal infections, arthritis, myopathy, and peripheral neuropathy. The readers can use the newly learned concepts from the presented material containing illustrated case examples to enhance their conventional musculoskeletal imaging and interventional practices and optimize patient management, their prognosis, and outcomes.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9667480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10826528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Evaluation of cancer outcome assessment using MRI: A review of deep-learning methods. 利用MRI评估癌症预后:深度学习方法综述。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20210072
Yousef Mazaheri, Sunitha B Thakur, Almir Gv Bitencourt, Roberto Lo Gullo, Andreas M Hötker, David D B Bates, Oguz Akin
{"title":"Evaluation of cancer outcome assessment using MRI: A review of deep-learning methods.","authors":"Yousef Mazaheri,&nbsp;Sunitha B Thakur,&nbsp;Almir Gv Bitencourt,&nbsp;Roberto Lo Gullo,&nbsp;Andreas M Hötker,&nbsp;David D B Bates,&nbsp;Oguz Akin","doi":"10.1259/bjro.20210072","DOIUrl":"https://doi.org/10.1259/bjro.20210072","url":null,"abstract":"<p><p>Accurate evaluation of tumor response to treatment is critical to allow personalized treatment regimens according to the predicted response and to support clinical trials investigating new therapeutic agents by providing them with an accurate response indicator. Recent advances in medical imaging, computer hardware, and machine-learning algorithms have resulted in the increased use of these tools in the field of medicine as a whole and specifically in cancer imaging for detection and characterization of malignant lesions, prognosis, and assessment of treatment response. Among the currently available imaging techniques, magnetic resonance imaging (MRI) plays an important role in the evaluation of treatment assessment of many cancers, given its superior soft-tissue contrast and its ability to allow multiplanar imaging and functional evaluation. In recent years, deep learning (DL) has become an active area of research, paving the way for computer-assisted clinical and radiological decision support. DL can uncover associations between imaging features that cannot be visually identified by the naked eye and pertinent clinical outcomes. The aim of this review is to highlight the use of DL in the evaluation of tumor response assessed on MRI. In this review, we will first provide an overview of common DL architectures used in medical imaging research in general. Then, we will review the studies to date that have applied DL to magnetic resonance imaging for the task of treatment response assessment. Finally, we will discuss the challenges and opportunities of using DL within the clinical workflow.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9080656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Impact of an ultra-low dose unenhanced planning scan on CT coronary angiography scan length and effective radiation dose. 超低剂量非增强计划扫描对CT冠状动脉造影扫描长度和有效辐射剂量的影响。
BJR open Pub Date : 2022-01-01 DOI: 10.1259/bjro.20210056
Laura Duerden, Helen O'Brien, Susan Doshi, Pia Charters, Laurence King, Benjamin J Hudson, Jonathan Carl Luis Rodrigues
{"title":"Impact of an ultra-low dose unenhanced planning scan on CT coronary angiography scan length and effective radiation dose.","authors":"Laura Duerden,&nbsp;Helen O'Brien,&nbsp;Susan Doshi,&nbsp;Pia Charters,&nbsp;Laurence King,&nbsp;Benjamin J Hudson,&nbsp;Jonathan Carl Luis Rodrigues","doi":"10.1259/bjro.20210056","DOIUrl":"https://doi.org/10.1259/bjro.20210056","url":null,"abstract":"<p><strong>Objective: </strong>Imaged scan length (z-axis coverage) is a simple parameter that can reduce CT dose without compromising image quality. In CT coronary angiography (CTCA), z-axis coverage may be planned using non-contrast calcium score scan (CaCS) to identify the relevant coronary anatomy. However, standardised Agatston CaCS is acquired at 120 kV which adds a relatively high contribution to total study dose and CaCS is no longer routinely recommended in UK guidelines. We evaluate an ultra-low dose unenhanced planning scan on CTCA scan length and effective radiation dose.</p><p><strong>Methods: </strong>An ultra-low dose tin filter (Sn-filter) planning scan (100 kVp, maximum iterative reconstruction) was performed and used to plan the z-axis coverage on 48 consecutive CTCAs (62% men, 62 ± 13 years) compared with 47 CTCA planned using a localiser alone (46% men, 59 ± 12 years) between May and June 2019. Excess scanning beyond the ideal scan length was calculated for both groups. Estimations of radiation dose were also compared between the two groups.</p><p><strong>Results: </strong>Addition of an ultra-low dose unenhanced planning scan to CTCA protocol was associated with reduction in overscanning with no impact on image quality. There was no significant difference in total study effective dose with the addition of the planning scan, which had an average dose-length product of 3 mGy.cm. (total study dose: Protocol A 2.1 mSv <i>vs</i> Protocol B 2.2 mSv, <i>p</i> = 0.92).</p><p><strong>Conclusion: </strong>An ultra-low dose unenhanced planning scan facilitates optimal scan length for the diagnostic CTCA, reducing overscanning and preventing incomplete cardiac imaging with no significant dose penalty or impact on image quality.</p><p><strong>Advances in knowledge: </strong>An ultra-low dose CTCA planning is feasible and effective at optimising scan length.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9234105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Online learning in proton radiation therapy: the future in the post-Covid-19 pandemic era? 质子放射治疗中的在线学习:后covid -19大流行时代的未来?
BJR open Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1259/bjro.20210054
William Croxford, Anna France, Matthew Clarke, Lauren Hewitt, Karen Kirkby, Ranald Mackay, Jane Miller, Ganesh Radhakrishna, Alison Sanneh, Ed Smith, Shermaine Pan
{"title":"Online learning in proton radiation therapy: the future in the post-Covid-19 pandemic era?","authors":"William Croxford,&nbsp;Anna France,&nbsp;Matthew Clarke,&nbsp;Lauren Hewitt,&nbsp;Karen Kirkby,&nbsp;Ranald Mackay,&nbsp;Jane Miller,&nbsp;Ganesh Radhakrishna,&nbsp;Alison Sanneh,&nbsp;Ed Smith,&nbsp;Shermaine Pan","doi":"10.1259/bjro.20210054","DOIUrl":"https://doi.org/10.1259/bjro.20210054","url":null,"abstract":"<p><strong>Objective: </strong>The Covid-19 pandemic placed unprecedented strain on medical education and led to a vast increase in online learning. Subsequently, the Christie International Proton School moved from face-to-face to online. Delegate feedback and current literature were studied to determine benefits, challenges, and potential solutions, for online proton therapy education.</p><p><strong>Methods: </strong>The course was converted to a 6-week online course with twice weekly 2-h sessions. Feedback was studied pre-, during-, and post-course regarding demographics, learning objectives, proton therapy knowledge, ease of engagement, technical difficulties, and course format. Statistical analyses were performed for proton therapy knowledge pre- and post-course.</p><p><strong>Results: </strong>An increase in delegate attendance was seen with increased international and multidisciplinary diversity. Learner objectives included treatment planning, clinical applications, physics, and centre development. Average learner reported scores of confidence in proton therapy knowledge improved significantly from 3, some knowledge, to 4, adequate knowledge after the course (<i>p</i><0.0001). There were minimal reported difficulties using the online platform, good reported learner engagement, and shorter twice weekly sessions were reported conducive for learning. Recordings for asynchronous learning addressed time zone difficulties.</p><p><strong>Conclusion: </strong>The obligatory switch to online platforms has catalysed a paradigm shift towards online learning with delegates reporting educational benefit. We propose solutions to challenges of international online education, and a pedagogical model for online proton therapy education.</p><p><strong>Advances in knowledge: </strong>Online education is an effective method to teach proton therapy to international audiences. The future of proton education includes a hybrid of online and practical face-to-face learning depending on the level of cognitive skill required.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9364368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33437928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Assessment of body composition and association with clinical outcomes in patients with lung and colorectal cancer. 评估肺癌和结直肠癌患者的身体成分及其与临床结果的关系。
BJR open Pub Date : 2021-11-26 eCollection Date: 2021-01-01 DOI: 10.1259/bjro.20210048
Naomi S Sakai, Anisha Bhagwanani, Timothy Jp Bray, Margaret A Hall-Craggs, Stuart Andrew Taylor
{"title":"Assessment of body composition and association with clinical outcomes in patients with lung and colorectal cancer.","authors":"Naomi S Sakai, Anisha Bhagwanani, Timothy Jp Bray, Margaret A Hall-Craggs, Stuart Andrew Taylor","doi":"10.1259/bjro.20210048","DOIUrl":"10.1259/bjro.20210048","url":null,"abstract":"<p><strong>Objectives: </strong>To assess body composition in patients with non-small cell lung cancer (NSCLC) and colorectal cancer using whole-body MRI and relate this to clinical outcomes.</p><p><strong>Methods: </strong>53 patients with NSCLC (28 males, 25 females; mean age 66.9) and 74 patients with colorectal cancer (42 males, 32 females; mean age 62.9) underwent staging whole-body MRI scans, which were post-processed to derive fat mass (FM), fat free mass (FFM) and skeletal muscle (SM) indices and SM fat fraction (FF). These were compared between the two cancer cohorts using two-sided <i>t</i>-tests and the chi-squared test. Measurements of body composition were correlated with outcomes including length of hospital stay, metastatic status and mortality.</p><p><strong>Results: </strong>Patients with NSCLC had significantly lower FFM (<i>p</i> = 0.0071) and SM (<i>p</i> = 0.0084) indices. Mean SM FF was greater in patients with NSCLC (<i>p</i> = 0.0124) and was associated with longer hospital stay (<i>p = 0.035</i>). There was no significant relationship between FM, FFM and SM indices and length of hospital stay, metastatic status or mortality.</p><p><strong>Conclusions: </strong>Patients with NSCLC had lower FFM and SM indices than patients with colorectal cancer and greater SMFF, indicating lower SM mass with fatty infiltration. These findings reflect differences in the phenotype of the two groups and suggest patients with lung cancer are more likely to require additional nutritional support.</p><p><strong>Advances in knowledge: </strong>Body composition differs between NSCLC and colorectal cancer. Patients with NSCLC have both a reduced SM mass and greater SM FF suggesting that they are more nutritionally deplete than patients with colorectal cancer.</p>","PeriodicalId":72419,"journal":{"name":"BJR open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73377149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信